Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P001: COMPARISON OF LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR AND CONVENTIONAL OPEN HERNIOPLASTY FOR STRANGULATED INGUINAL HERNIA: A 5-YEAR FOLLOW UP STUDY
Shota Akabane, MD; Miyuki Atarashi, MD; Ichiro Kato, MD; Ken Sano, MD; Sendai Tokushukai Hospital
Introduction: As strangulated inguinal hernia can lead to bowel obstruction or necrosis, emergency intervention is inevitably required. Laparoscopic transabdominal preperitoneal repair (TAPP) is widely accepted in elective inguinal hernioplasty. However, given the scarcity of data, the feasibility and safety of TAPP in strangulated hernia cases have not yet been determined.
Methods: We performed a retrospective review of the records of patients who had undergone inguinal hernia repair from January 2011 to August 2016 in the Department of Surgery, Sendai Tokushukai Hospital. We evaluated the data from a consecutive series of 42 patients who had undergone surgery for acute strangulated inguinal hernia associated with suspected visceral ischemic damage by either TAPP (TAPP group, n = 25) or conventional open hernioplasty via the anterior approach (anterior group, n = 17).
Results: The TAPP group had a significant longer surgical duration than the anterior group (78 vs 55min) and relatively less blood loss (6.3g vs 15.3g). The morbidity was lower in the TAPP group, but the difference was not statistically significant (5% vs 8%). The TAPP group had a significantly shorter postoperative hospital stay than the anterior group (5 vs 9 days). The total consumption of loxoprofen sodium hydrate for postoperative analgesia was less in the TAPP group (150mg vs 270mg). No mortality or recurrence was encountered in either group.
Conclusion: For surgeons with sufficient knowledge of the anatomy and expertise in reducing the strangulated organ, TAPP for strangulated inguinal hernia is at least comparable to open hernioplasty via the anterior approach in middle-term outcomes.
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